HomeMy WebLinkAbout2580 Wellspring St; ; CBR2017-2408; Permit(city of
Carlsbad
Residential Permit
Print Date: 03/29/2018 Permit No: CBR2017-2408
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2580 Wellspring St
BLDG-Residential
2081902600
$3,945.60
Work Class: Patio
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
10/11/2017
01/04/2018
Plan Check#:
Final
Inspection: 3/29/2018 9:38:27AM
Project Title:
Description: SLABUCK\: INSTALL 128 SF ATTACHED CITY-SPEC PATIO COVER W/ ELECTRICAL
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
CARL SLAB IC Kl
2580 Wellspring St
Carlsbad, CA 92010-5604
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $147.47 Total Payments To Date: $147.47
Contractor:
GREEN EXPRESSIONS LANDS
3912 Bedford Ave
Oceanside, CA 92056-3337
760-653-9967
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$61.74
$43.22
$41.00
$1.DD
$0.Sl
'
, (cityof Est. Value
Plan Check No.
Plan Ck. Deposit Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 780-6Cl24719 Fax: 760-602-8558
email: bullding@carlsbadca.gov
www.carlsbadca.gov f--------~---r~-,1----c....-------~
EXISTING USE PROPOSED USE GARAGE (SF)
APPLICANT NAME (Primary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DESIGN PROFESSIONAL NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
STATE UC.#
Date
SUITE#/SPACE#/UNIT# APN
PATIOS (SF) DECKS (SF) FIREPLACE
YESO #~ NOD
AIR CONDITIONING
YES D NOD
ZIP
FIRE SPRINKLERS
YES D NOD
'\'.?.OlD
ZIP '1ZOS£
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, also re_quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or That he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby afflrm under penalty of peljury one of the following declarations:
D I have and will maintain a certificale of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit·
D I have and will maintain w ired by Section 3700 of the Labor Code, for the .performancr.tt~work for !icP4&op1~isAslfld(!)' wor~ers' comiensa ·
number are: Insurance Co.J-'~_!:i,f___:\,l~~:",~"---::_ ___________ Policy No. ~ f"\.4,,... L .1.. OVb U. Expiration Date_-"-,'--LC""-.~-,J------
This section need not be completed if the permit is for one hundred dollars ($100) or less 0 Certificate of Exemption: I certify that in the perform ce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' co n covera unlawful, and shall subject an employer to criminal penalties and civil fines up to one hu red th usand dollars (&100,000), in
addition to lhe cosl of compensation, dama pr ided f in Secti 3706 of the Labor code, interesl and auorney's fees.
,,I$ CONTRACTOR SIGNATUR
I hereby affirm Iha/ I am exempt from Contractor's License Law for the following reason:
O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale)
0 I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
0 I am exempt under Section. Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes Ll No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work):
,6$ PROPERTY OWNER SIGNATURE 0AGENT DATE
C
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
. Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ Yes D No
Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the a~ Jnfonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cailsboo to enter upon the above mentioned property foc inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB.4.D
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES ICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: hi OSHA pem,it is required for excavations over deep and olition or coristrudion of struciures over 3 stones in height
EXPIRATION: Every permit issued by the Building Offici der the p · kins of this Code shall expire by limitation and become null and void if the building or work authorized by su pem,it is not commenced within
180 days from the date of such permit or if the buikling permit is suspended or abandoned at any time after the work is commenced for ape · of 180 d (Section 106.4.4 Uniform Building Code).
,6$ APPLICANT'S SIGNATURE DATE
+ • , 1 P ,-, , ~,; "'Hft \ i Aw , ~,,
:,., -;&~. . ; '.:, PI\\RMIT'fNSPE(?"flQ~ Hl~1@RV •/ e'po~{CBRib'17-24Q!,I!,, ',( 1 : •
Permit Type: BLDG-Residential Application Date: 10/11/2017 Owner:
Work Class: Patio Issue Date: 01/04/2018 Subdivision:
Status Closed -Finaled Expiration Date: 07/30/2018 Address:
Scheduled
Date
Actual
Start Date
01/06/2018 01/06/2018
01/30/2018 01130/2018
03/29/2018 03/2912018
IVR Nurr1ber: 6893
Inspection Type Inspection No.
BLOG-14
Frame/Steel/Bolting/
Welding (Decks)
046182-2018
Chee klist ltcrn
BLDG-Building Deficiency
BLDG-34 Rough
Electrlcal
045181-2018
Checklist ltern
BLDG-Building Deficiency
BLDG-11
Foundation!Ftg/Pler
s (Rebar)
047385-2018
Checklist ltern
BLDG-Building Deficiency
BLDG-34 Rough
Electrical
047222-2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
053164-2018
Checklist ltetn
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status Primary Inspector
Failed Chris Renfro
COMMENTS
Need to update plans to match detached
patio cover being installed. Need to inspect
waste line for outdoor sink
Failed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
Passed Chris Renfro
COMMENTS
CARL SLABICKI
2580 Wellspring St
Carlsbad, CA 92010-5604
Reinspection Complete
Reinspection Complete
Passed
No
Reinspection Complete
Passed
No
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Yes
Yes
Yes
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